name: tittle class: title-slide, left, middle background-image: url("data:image/png;base64,#images/daftpunktocat-thomas.gif") background-position: right background-size: contain background-color: #7899d4ff .pull-left[ # A.D.H.D ## Neuropsychological assessment for diagnostic clarification and treatment planning ### Joey Trampush, Ph.D. ### Della Martin Assistant Professor of Psychiatry ### 2021-11-09 ] --- class: middle, center, inverse # .big-text[Hello.] ??? So hello- I'm so happy to be invited to join you all today. --- .bg-washed-green.b--dark-green.ba.bw2.br3.shadow-5.ph4.mt5[ If you cannot explain something in simple terms, you don't understand it. .tr[ — Richard Feynman ]] .center[] --- class: middle, left, inverse # Data science .left[  ] --- class: inverse left middle .footnote[.red.bold[*] Important footnote] # ADHD This .big[kid] has ADHD. .right[] ??? 80HD --- class: left middle # neuropsychological deficits related to adhd -- .pull-left[ ## Working Memory ] .pull-right[ - Remembering things short term memory - Verbal information - Nonverbal information - "mind's eye" ] -- .pull-left[ ## Processing Speed ] .pull-right[ - Rate of test taking - Rate of speed of information processing - Some other description - Fourth layer ] -- .pull-left[ ## Response Variability ] .pull-right[ - Reaction time variability - Response consistency - Attentional drift - Impulsive responding ] --- class: inverse, middle # neurocognitive deficits related to adhd .panelset[ .panel[.panel-name[Working Memory] ## Working Memory - Remembering things short term memory - Verbal information - Nonverbal information - "mind's eye" ] .panel[.panel-name[Processing Speed] ## Processing Speed - Rate of test taking - Rate of speed of information processing - Some other description - Fourth layer ] .panel[.panel-name[Response Variability] ## Response Variability - Reaction time variability 1. too fast 1. too slow - Response consistency - Attentional drift - Impulsive responding ] .panel[.panel-name[Inhibitory Control] ## Inhibitory Control - Go/No-Go performance - Core DSM symptom (impulsivity) - Something else ... - Impulsive responding ] ] --- name: bell background-image: url(data:image/png;base64,#images/7-emot-laughing-crying.gif) background-position: 50% 50% background-size: 100% class: left, middle, fullscale, inverse .pull-left[ > **Emotion** > > **(Dys)regulation** > > in > > **ADHD** > > Not part of DSM/ICD diagnostic criteria > > .big[BUT] core feature of disorder ] ??? This is recognized on most rating scales --- <img src="data:image/png;base64,#figs/unnamed-chunk-2-1.svg" width="100%" /> --- class: middle center animated slideInRight fadeOutLeft ## Distribution of Scores: _Population-level Interpretation_ <div class="figure"> <img src="data:image/png;base64,#images/plot_narrow.png" alt="Statistical classification of neuropsychological test scores in the general population." width="50%" /> <p class="caption">Statistical classification of neuropsychological test scores in the general population.</p> </div> --- class: middle center animated slideInLeft fadeOutRight ## Distribution of Scores: _Clinical Interpretation_ <div class="figure"> <img src="data:image/png;base64,#images/plot_broad.png" alt="General clinical interpretation of performance for individual test scores and broader neuropsychological domains." width="50%" /> <p class="caption">General clinical interpretation of performance for individual test scores and broader neuropsychological 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src="data:image/png;base64,#figs/unnamed-chunk-11-1.svg" width="100%" /> --- #### A fancy alpha plot <img src="data:image/png;base64,#figs/unnamed-chunk-13-1.svg" width="100%" /> --- #### With values <img src="data:image/png;base64,#figs/unnamed-chunk-14-1.svg" width="100%" /> --- #### Metal Mania <img src="data:image/png;base64,#figs/unnamed-chunk-15-1.svg" width="100%" /> --- #### Monoton <img src="data:image/png;base64,#figs/unnamed-chunk-16-1.svg" width="100%" /> --- class: left # Thanks! .bg-washed-green.b--dark-green.ba.bw2.br3.shadow-5.ph4.mt5[ When something is important enough, you do it even if the odds are not in your favor. .tr[ — Someone ]]